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Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

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  • Case: 109

  • Age: 37

  • Before application of acetic acid: Red columnar epithelium is visible around the external os. The surrounding pink epithelium is the squamous epithelium.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ is fully visible. A dense acetowhite area with sharp margins and attached to the SCJ is present on both the anterior and posterior lips.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  
      • If present, description of acetowhite area:
        • Colour:  
        • Margin:  
        • Surface:  
        • Location:  
        • Size:  

  • VIA category:  

  • After application of Lugolís iodine: The acetowhite area does not stain with Lugolís iodine.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN2

  • Remarks: Lugolís iodine well delineates the lesion, which is suitable for treatment by ablation.





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